Individual provider Active NPI

Elizabeth Leah Sukys-Rice, LCSW

  • Clinical Social Worker
  • Pinellas Park, FL
National Provider Identifier
1104329903
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15178 Issued in FL
Practice address
6251 Park Blvd N Ste 9
Pinellas Park, FL 33781-3238
Phone
(727) 300-9382
NPI assigned
Mar 18, 2018
Last updated
Oct 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW15178 FL Primary

Addresses

Primary practice location

6251 Park Blvd N Ste 9
Pinellas Park, FL 33781-3238

Mailing address

11395 69TH Ave
Seminole, FL 33772-6207
Phone (727) 300-9382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219002190 FL Practitioner - Clinical Social Worker 8820525553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6251 Park Blvd N
Suite 9
Pinellas Park, FL 33781-3238
Phone (727) 300-9281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
E.S. Inc Clinical CurrentSince Jan 1, 2025 Accepting new patients

Locations

6251 Park Blvd N
Ste 9
Pinellas Park, FL 33781
Phone (727) 300-9281

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1104329903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11395 69TH AVE",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337726207",
            "telephone_number": "727-300-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6251 PARK BLVD N STE 9",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813238",
            "telephone_number": "727-300-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKYS-RICE",
        "first_name": "ELIZABETH",
        "middle_name": "LEAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-18",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.